Individual
MRS. SHAWNA D LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CD(DONA), CLC
Contact information
Practice address
524 15TH ST, MOLINE, IL 61265-2170
(309) 737-8266
Mailing address
PO BOX 431, ANDOVER, IL 61233-0431
(309) 292-0362
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
IL
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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